Partners For Progress Volunteer Form

Personal Information

Please list Current Employer or School Attending:

Parent / Legal Guardian

Only if the volunteer is a minor there must be a parent/guardian indicated below. 
All others may go down to the next section (Availability).

Availability

Days and Times Available to Volunteer: (After orientation your hours will be finalized with the volunteer coordinator)

Emergency Medical Information

The following information along with the health history above is only used in the event that emergency medical aid/treatment is required due to illness or injury during the process of receiving services, or while being on the property of the agency.
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